| NPI | 1225083579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JUDE BANCO Executive Director 617-219-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA 59668) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-03-09 |